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Goldenstate College SHS Registration Form-Gensan Campus Only
Please answer all questions properly.
* Indicates required question
Email
*
Your email
Family Name
*
Your answer
First Name
*
Your answer
Middle Name
*
Your answer
Complete Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Age
*
Your answer
Gender
*
Male
Female
Contact Number
*
Your answer
Email Address
*
Your answer
Student Strand / Track
*
ABM
HUMSS
GAS
TVL - Home Economics
TVL - Industrial Arts
Grade Level
*
Grade 11
Grade 12
Mother's Name
*
Your answer
Her Contact Number
*
Your answer
Father's Name
*
Your answer
His Contact Number
*
Your answer
Elementary
*
Your answer
Year Graduated
*
Your answer
Junior High School
*
Your answer
Year Graduated
*
Your answer
A copy of your responses will be emailed to the address you provided.
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